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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-new_sops_diagnostic_safety-ginsberg.pdf
June 02, 2025 - New AHRQ SOPS® Diagnostic Safety Supplemental Items for Medical Offices - Ginsberg
AHRQ’s Surveys on Patient Safety Culture™
(SOPS®) Program
Caren Ginsberg, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
6
AHRQ’s SOPS Program
• Initiated and funded by AHRQ since 2001 to advance the understanding,…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-8.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Conclusion
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. Building the Project Foundati…
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www.ahrq.gov/ncepcr/building-community/index.html
December 01, 2023 - Research Communities
AHRQ offers many resources to enable and encourage a growing primary care research community. These resources range from networks of primary care clinicians and practices working together to answer community-based research questions to tools and guidance to clinicians on how to integrate be…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking1.html
September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Introduction
Previous Page Next Page
Table of Contents
Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Introduction
Fundamental Concepts for Understanding Probability
Probability and the Diagnostic Pathway
Futu…
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www.ahrq.gov/patient-safety/settings/hospital/match/chapter-8.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Conclusion
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. Building the Project Foundati…
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www.ahrq.gov/hai/tools/surgery/guide-app-cusp.html
December 01, 2017 - Supplemental Tools
Applying CUSP To Promote Safe Surgery Tools
Surgical Safety Team Roles and Responsibilities Tool ( Word , 1.57 MB)
This tool will help your safety program team understand the core tasks of your improvement project and will help you organize your team to complete the work. Just like cli…
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psnet.ahrq.gov/node/47296/psn-pdf
September 24, 2018 - The cost of quality: an academic health center's annual
costs for its quality and patient safety infrastructure.
September 24, 2018
Blanchfield BB, Demehin AA, Cummings CT, et al. The cost of quality: an academic health center's annual
costs for its quality and patient safety infrastructure. Jt Comm J Qual Patient …
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psnet.ahrq.gov/node/38983/psn-pdf
February 10, 2015 - Improving safety and eliminating redundant tests: cutting
costs in U.S. hospitals.
February 10, 2015
Jha AK, Chan DC, Ridgway AB, et al. Improving safety and eliminating redundant tests: cutting costs in
U.S. hospitals. Health Aff (Millwood). 2009;28(5):1475-1484. doi:10.1377/hlthaff.28.5.1475.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/45730/psn-pdf
December 14, 2016 - Identification of priorities for improvement of medication
safety in primary care: a PRIORITIZE study.
December 14, 2016
Car LT, Papachristou N, Gallagher J, et al. Identification of priorities for improvement of medication safety
in primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17(1):160.
https://psnet.ah…
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psnet.ahrq.gov/node/42788/psn-pdf
January 19, 2014 - Demonstrating high reliability on accountability measures
at The Johns Hopkins Hospital.
January 19, 2014
Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the
Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531-544.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/39071/psn-pdf
November 04, 2009 - Identification of patient information corruption in the
intensive care unit: using a scoring tool to direct quality
improvements in handover.
November 4, 2009
Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit:
using a scoring tool to direct quality improve…
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psnet.ahrq.gov/node/40871/psn-pdf
October 26, 2011 - Rethinking resident supervision to improve safety: from
hierarchical to interprofessional models.
October 26, 2011
Tamuz M, Giardina TD, Thomas EJ, et al. Rethinking resident supervision to improve safety: From
hierarchical to interprofessional models. J Hosp Med. 2011;6(8):445-452. doi:10.1002/jhm.919.
https://ps…
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psnet.ahrq.gov/node/854986/psn-pdf
November 01, 2023 - Implementing a safer and more reliable system to monitor
test results at a teaching university-affiliated facility in a
family medicine group: a quality improvement process
report.
November 1, 2023
Dorimain M-V, Plouffe-Malette M, Paquette M, et al. Implementing a safer and more reliable system to
monitor test re…
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psnet.ahrq.gov/node/39528/psn-pdf
May 19, 2010 - Multidisciplinary team training in a simulation setting for
acute obstetric emergencies: a systematic review.
May 19, 2010
Merién AER, van de Ven J, Mol BW, et al. Multidisciplinary Team Training in a Simulation Setting for Acute
Obstetric Emergencies. Obstetrics & Gynecology. 2010;115(5). doi:10.1097/aog.0b013e318…
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psnet.ahrq.gov/node/39839/psn-pdf
November 07, 2011 - The disparity of frontline clinical staff and managers'
perceptions of a quality and patient safety initiative.
November 7, 2011
Parand A, Burnett S, Benn J, et al. The disparity of frontline clinical staff and managers' perceptions of a
quality and patient safety initiative. J Eval Clin Pract. 2011;17(6):1184-90. …
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psnet.ahrq.gov/node/46542/psn-pdf
June 19, 2018 - Improving admission medication reconciliation with
pharmacists or pharmacy technicians in the emergency
department: a randomised controlled trial.
June 19, 2018
Pevnick JM, Nguyen C, Jackevicius CA, et al. Improving admission medication reconciliation with
pharmacists or pharmacy technicians in the emergency depar…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/value-stream-mapping
January 01, 2023 - Value Stream Mapping
Acronym
VSM
Description
Value stream mapping (VSM) is a method of improvement that allows an entire process to be visualized. It represents the flow of both materials and information in an attempt to improve a process by finding sources of waste. The technique identifies a…
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psnet.ahrq.gov/node/35979/psn-pdf
September 17, 2010 - How will we know patients are safer? An organization-
wide approach to measuring and improving safety.
September 17, 2010
Pronovost P, Holzmueller CG, Needham DM, et al. How will we know patients are safer? An organization-
wide approach to measuring and improving safety. Crit Care Med. 2006;34(7):1988-95.
https:/…
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psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
January 01, 2022 - Spotlight
Spotlight
A Case of Mistaken Capacity: Why a
Thorough Psychosocial History Can
Improve Care
Source and Credits
• This presentation is based on the March 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Katrina Pasao, MD…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/measuring-safety-culture.pdf
May 13, 2025 - Creating and Maintaining a Culture of Safety Series (Session 3): Measuring and Responding to Safety Culture Across Healthcare
Creating and Maintaining a Culture of Safety Series
(Session 3)
Measuring and Responding to Safety Culture Across Healthcare
NATIONAL WEBINAR SERIES
April 15, 2025
Housekeeping Instructi…